Comparative Effectiveness of Dynamic Abdominal Sonography for Hernia vs Computed Tomography in the Diagnosis of Incisional Hernia

European Hernia Society guidelines on the closure of abdominal wall incisions

“…The PRISMA flow diagram is shown in addendum 3 (Key Question A). Fifteen records were included in the qualitative analysis [3][4][5][6][50][51][52][53][54][55][56][57][58][59][60]. Only four studies were retained as High Quality and are listed in the Summary of Findings table (Table 2) [5, [50][51][52].…”

“…However, CT scan will induce a radiation load to the patients and ultrasound is more accessible in most health care settings. A good standardisation and dynamic evaluation by ultrasound of the abdominal wall is needed, as described by Beck et al [51] as the dynamic abdominal sonography for hernia (DASH) technique.…”

PREBIOUS trial: A multicenter randomized controlled trial of PREventive midline laparotomy closure with a BIOabsorbable mesh for the prevention of incisional hernia: Rationale and design

“…The ultrasound examination was carried out by an investigator who had at least 6 months training in this method [43]. In a study of the effectiveness of dynamic abdominal sonography for hernia (DASH) vs. CT, DASH was found to be an accurate alternative for diagnosis of abdominal wall hernias but DASH was performed with prerequisite training in the American College of Surgeons Ultrasound for Surgeons Basic Course [44]. In a recent study, DASH and CT showed similar results to characterize incisional hernia by measurement of mean surface but in this study all patients had incisional hernia on enrollment [45].…”

Preoperative Risk Reduction

“…This imaging becomes of critical importance in the morbidly obese, because additional abdominal wall defects are often not palpable. 78 Preoperative Risk Reduction…”